Tuesday, January 25, 2005

it's 1:30am and i'm ruminating (pun intended)

i've been studying rumination/digestive fermentation of herbivores (or herbeevores (emphasis on the h of herb) as my prof likes to call them) for the past 2 hours. prior to that, i was knee deep in virology and gross anatomy. my life has officially disappeared. and it's 1:30 - with no real end in sight. disgusting, eh? only the 2nd week of school. i like to tell people that my life is atrophying from disuse (use one of those $5 words from school). today was hellish. i was up at 7, in class at 8, at school till 5p (lab from 2-5), home by 5:30, napped till 7:30, dinner till 8:30, studying since then. and did i mention that i only got 3 hours last night? it's an entertaining existence, vet school. all i do is study and go to school. all day - every day. i studied for 11 hours on sunday - straight - with only 15 minute breaks. if i didn't really love what i was doing and look forward to new challenges and school...well...i'd be a very very sorry person.

but it's 1:40 now, and the night is very quiet. all i can hear is a train going by 3 blocks over and a mournful train whistle. everyone but me is asleep (all birds, all cats, all husbands). it's almost soothing. i feel lulled into complacency. the acidity in my stomach brought on by nightmares of failing out of vet school has calmed itself (for once). i am moderately peaceful. life has been very very good to me.

on that note, i have met so many unhappy people in the course of my life - and i am always surprised afresh at what can make people unhappy. i always naively assumed that if one had all the ingredients for a happy life - one would be happy. i now realize that is patently untrue. some people just aren't happy. as for myself, my life is rich in luxuries (despite our modest income) and pleasantness. what do i have to complain about? my great education? my having only 1 vehicle? only have 4 or 5 very close friends? only having 2 families to love and support me? i just can't fathom unhappy people...

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DISCLAIMER

Any similarity between my stories and any person or animal, living or dead, is strictly a coincidence. Names, breeds, sexes, and details of the stories have been changed to protect the guilty and innocent alike.

About Me

I am an emergency veterinarian in North Carolina. Despite the crazy people I deal with, the awful cases of injured and sick animals, and the overall stress of emergency work, I absolutely love what I do. Happily married since I was 20, I have a wonderful husband who has a PhD in Mathematics, and a daughter around whom our world currently revolves. We also have a zoo living in our house that can be alternately wonderful and maddening. There are cats, parrots, and a dog who is very low on the totem pole. Our days are never dull and we are learning to balance the demands of work and family.
If you'd like to contact me: homelessparrot@gmail.com

Human gross-ness

Followers

Medical terminology

Lactate - a salt/ester of lactic acid that is produced as energy for a cell when oxygen levels are low. In critically ill animals, elevated lactate can be an indicator of inadequate blood flow to organs (perfusion), decreased delivery of oxygen, and/or decreased oxygen uptake. Values > 6-7 are usually considered to be poor prognostic indicators for survival.

GI sloughing: when the cells lining the GI tract die (can be secondary to MANY things, including heatstroke) with resulting bloody diarrhea, bacterial translocation into the bloodstream and sepsis

TTJ: transfer to jesus: code for when an animal needs to be euthanized or die

DIC: disseminated intravascular coagulation: a very, very bad thing - when the hemostatic system gets out of whack, and clots start forming in the blood vessels until all clotting factors are wasted. once those are gone, internal hemorrhage ensues, followed by death, usually. also known as "death is coming"

Pleural effusion - fluid contained in the pleural space (chest) - this is not the same as fluid in the lungs (see pulm edema) - in cats can be caused by infection in the chest, heart failure, cancer, FIP, feline leukemia, FIV, and in some cases, the cause is never found (idiopathic)

Anisocoria - unequal pupil size (related to any number of causes including brain damage/head trauma)

Sepsis - refers to a bacterial infection in the bloodstream or body tissues. This is a very broad term covering the presence of many types of microscopic disease-causing organisms.

Nephrectomy - kidney removal

Splenectomy - removal of spleen

Pulmonary edema - condition in which fluid accumulates in the lungs, usually because the heart's left ventricle does not pump adequately ( can be caused by heart failure, electrocution, drowning, too many IV fluids, to name a few)

Tick borne diseases - any of a myriad of diseases transmitted by ticks - including but not limited to Rocky Mtn Spotted fever, Lyme disease, Ehrlichia

Fine needle aspirate - A method of sampling in which a needle is used to suck in cells or tissue bits for diagnoses (good for diagnosing masses/lumps)

Blood glucose - The principal sugar produced by the body from food–especially carbohydrates, but also from proteins and fats; glucose is the body's major source of energy, is transported to cells via the circulation and used by cells in the presence of insulin (normal range in a dog/cat is 75-100)

Diseases I see/treat frequently

Dystocia - difficulty birthing. May be responsive to oxytocin administration (Pitocin, as in people) but may require c-section.

DKA - diabetic ketoacidosis: the extreme end of the diabetic scale. A patient that is diabetic can develop DKA when other diseases make the blood glucose hard to regulate. Other diseases that are commonly associated include urinary tract infection, pancreatitis, pyometra, skin infection, and cancer. In DKA, the body starts metabolizing fat and producing acids that cause a drop in blood pH, nausea, weakness, severe dehydration, electrolyte derangments, and death.

DCM - dilated cardiomyopathy: an idiopathic (cause unknown) cardiac disease in which the heart chambers become very thin/dilated, and cardiac output drops radically. Causes arrhythmias, tachycardia, and sudden death. Seen in large breed dogs like Dobermans, Great Danes, etc.

Lymphoma - cancer of the white blood cells, the most common and treatable form of cancer in dogs

Blocked cat - slang term for a male cat with a plug of mucus and crystals obstructing the urethra (fairly common in male cats) definitely a life-threatening because urine can't get out of the body! If present long enough, causes shock, acute renal failure, hyperkalemia (elevated potassium), coma, and death. Symptoms include straining in the litterbox, yowling while trying to urinate, producing small, bloody drops of urine (also symptoms of feline cystitis, a non-lethal condition)

GDV - stands for gastric-dilatation and volvulus - a condition of large breed, deep-chested dogs (usually) in which the stomach rotates 180 degrees on its axis and thus - nothing can enter or leave, considered the "mother of all emergencies" - it warrants immediate surgery and carries a guarded prognosis

IMHA - immune-mediated hemolytic anemia. A disease in which the immune system attacks the red blood cells and destroys them. It causes profound anemia and is life-threatening. Causes are primary (no known cause) and secondary ( tick borne disease, cancer, and heavy metal intoxication). Treatment is immunosuppression with drugs primarily. Prognosis is guarded at best.